基于老年病人视角的医疗机构组织型健康素养评价量表的编制及信效度检验  

Development of evaluation scale of organizational health literacy in medical institutions based on the perspective of older patients and its reliability and validity test

作　　者：朱洁 刘永兵 付海燕 张伊柠 林静雯 李宜静 康艳茹 孙润杰 徐馨琦 ZHU Jie;LIU Yongbing;FU Haiyan;ZHANG Yining;LIN Jingwen;LI Yijing;KANG Yanru;SUN Runjie;XU Xinqi(School of Nursing,School of Public Health,Yangzhou University,Jiangsu 225009 China)

机构地区：[1]扬州大学护理学院·公共卫生学院,江苏225009

出　　处：《护理研究》2025年第6期958-964,共7页Chinese Nursing Research

基　　金：2024年国家社会科学基金一般项目,编号:24BRK008;2023年江苏省研究生科研创新计划项目,编号:KYCX23_3631;苏中发展研究院2022年度开放课题,编号:Szfz202219;扬州市科技计划项目,编号:YZ2023071。

摘　　要：目的:编制基于老年病人视角的医疗机构组织型健康素养评价量表,并检验其信效度。方法:基于医疗机构健康素养的10项内涵特征,通过质性访谈及德尔菲专家函询形成量表。于2023年8月—10月,便利选取江苏省扬州市2所三级医院的423例住院老年病人进行问卷调查,对量表进行项目分析和信效度检验。结果:构建的基于老年病人视角的医疗机构组织型健康素养评价量表包括病人赋能、导医系统、健康信息、医患沟通以及政策规范5个维度,共22个条目。共进行2轮专家函询,问卷回收率均为100.00%,专家权威系数分别为0.892和0.904,变异系数分别为0.07~0.58和0.07~0.25,肯德尔和谐系数分别为0.165和0.215(均P<0.001)。探索性因子分析提取的5个公因子累计方差贡献率为64.662%;验证性因子分析结果显示,模型整体拟合较好。量表平均量表水平的内容效度指数为0.954;条目水平的内容效度指数为0.833~1.000。量表总体的Cronbach′sα系数为0.937,折半信度为0.853。结论:基于老年病人视角的医疗机构组织型健康素养评价量表具有较好的科学性和可靠性,可以作为老年病人评价医疗机构组织型健康素养的工具。Objective:To develop evaluation scale of organizational health literacy in medical institutions based on the perspective of older patients,and to test its reliability and validity.Methods:Based on ten attributes of medical institutions with health literacy,the scale was formed through qualitative interviews and Delphi expert consultations.A total of 423 inpatients from 2 tertiary hospitals in Yangzhou,Jiangsu province were conveniently selected from August to October 2023,and the item analysis and reliability and validity test of the scale were conducted.Results:Established evaluation scale of organizational health literacy in medical institutions based on the perspective of older patients included 5 dimensions(patient empowerment,guide system,health information,doctor-patient communication,and policy norms)with 22 items.2 rounds of expert correspondence were conducted,and the recovery rate of the questionnaires both were 100.00%.The expert authority coefficients were 0.892 and 0.904.The coefficients of variation were ranged from 0.07 to 0.58 and from 0.07 to 0.25,and the Kendall coordination coefficients were 0.165 and 0.215(both P<0.001).The cumulative variance contribution rate of the 5 common factors extracted by exploratory factor analysis was 64.662%.The results of confirmatory factor analysis showed that the overall fit of the model was good.The average scale-level content validity index was 0.954,the item-level content validity index were ranged from 0.833 to 1.000.The overall Cronbach′sαcoefficient was 0.937.The split-half reliability was 0.853.Conclusions:The evaluation scale of organizational health literacy in medical institutions based on the perspective of older patients has good scientificity and reliability,it can be used as a tool for older patients to evaluate the organizational health literacy of medical institutions.

关 键 词：老年病人 医疗机构 组织型健康素养 量表研究 信度 效度 德尔菲法 护理 

分 类 号：R473[医药卫生—护理学]